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NPI Code Detail

MEDICARE: JEFFREY BOGNIARD LPCC-S

MEDICARE: JEFFREY BOGNIARD LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.0002308-SUPVOH

General Provider Information

NPI Number : 1841381829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY BOGNIARD LPCC-S
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-0276
Fax Number : 330-759-0030
Provider Business Practice Location Address
First Line : 520 YOUNGSTOWN POLAND RD
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-1103
Country : US
Telephone Number : 303-183-0783
Fax Number : 234-855-1072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 12/20/2023

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Directions to “ JEFFREY BOGNIARD LPCC-S” Practice Location

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